470025_Routine Inspection_20210723

Facility Number
ivision of Water Resources
O Division of Soil and Water Conservation
0 Other Agency
Type of Visit: ,Q Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: , outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Arrival Time '60 In,
&yd e f2rgi
/:qi 4_, 4L
Departure Time: V1''*"
Owner Email:
Phone:
County:
Region: .ea.
J-6\5-e. 6u-e, re/0
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Integrator:
("se 6cit c
Phone:
„hi
Certification Number:
Certification Number:
Latitude:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
can to Feeder
7! V 4'
4/5V
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other,
Design Current
Wet Poultry Capacity Pop. Cattle
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes .❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA 0 NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ,'No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes la1C10 ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
5/12/2020 Continued

Facility Number: ifl - r�
Waste Collection & Treatment
Date of Inspection:
�3Jc?I
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
n Yes No ❑ NA ❑ NE
n Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Spillway?:
Designed Freeboard (in): t /
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ YesINo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a 0 Yes10 ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yeso ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes' io ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Ye's1No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): bernula OVkCJGI
13. Soil Type(s): t_ V o \' Q 11< moll
WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
n Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Trafers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No El NA ❑ NE
VI
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes �T No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 11 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable n Yes No ❑ NA 0 NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes No 0 NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check n Yes No ❑ NA ❑ NE
the appropriate box.
❑ Other:
❑ Yes
No ❑NA ❑NE

Facility Number: -
24. Did the facility fail to calibrate waste application equipment as required by the permit?
'Date of Inspection: 1 pl ai
❑ Yes ] No ❑ NA 0 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes p No 0 NA 0 NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? 0 Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? n Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA 0 NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes NII No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the n Yes ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. n Yes RNo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
n Yes
n Yes
n Yes
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
tion #): Explain riy YES answers and/or any additional endation
o be
situations us'e'additional pages as nece
o any other comments.
000 JD6
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
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Phone: iQ 1(` qt9
Date: 14j1
2/4/2015

FACILITY #: - rj' FARM NAME: mC,d�
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (u19)
- DUE EVERY 5 YEARS�i��ai
- EXPERIATION DATE
- ACTUAL NUMBER OF ANI AL j I
- OIC CARt YE OR NO
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES wit,
CROP TYPES Bermuda,
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHEC LIST YES OR NO
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER I
DATE 1 i 1 NITROGEN LEVEL'S G%
i.L3Ct
SOIL REPORT (#21)
EVERY 3 YEARS:
P-I (NO MORE THEN 400) A
- PH (Note if 4 or Tess) V
- Cu/ZN (NO MORE THEN 3000) CU
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
DATEP)II01�
ZN !!
IRR2 (#21)
ZONE ACRES PAN 2T1 CROP TYPE C tro
tal
FLOW RATES ISO NITROGEN (N) '(')', _16
120 Min inspection initialed k Weather Codes
Commercial Fertilizer)
Chicken Litter NO
CALBRIATION (#24)

- EACH REEL SHOULD BE CALIBRATED
- DATE DUE EVERY TWO YEARS fIpI"i L 061
- FLOW RATES j C'C)
RAFALL (#21)
-INITIAL AFTER 1" RAIN EVENT +�
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
SLUDGE (#21 & 25)
-DUE EVERY YEAR: DATE (PI I I O
O: 0 ' 1 P: % RATIO OF SLUDGE
RAIN BREAKER FORM
OTHER FORMS (#22 AND #21)
CROP YEILDS
VISUAL CHECK
MORTALITY V
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE